Mousazadeh Noushin, Babaieasl Faezeh, Rezapour Maysam, Hakimi Hamideh
Department of Nursing, Amol School of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran.
College of Nursing and Health Sciences, Department of Nursing Practice, Texas A & M University, Corpus Christi, Texas, USA.
J Nurs Manag. 2025 Feb 17;2025:9518080. doi: 10.1155/jonm/9518080. eCollection 2025.
Compassionate care and resilience play crucial roles in enhancing care quality. Understanding compassionate care patterns in the nursing population and their relationship with resilience can improve knowledge of these concepts. To investigate compassionate care patterns among Iranian nurses and their associations with resilience at individual and contextual levels. This cross-sectional study used Persian versions of the 28-item Compassionate Care Questionnaire (CCQ) and Connor-Davidson Resilience Scale (CD-RISC). 478 Iranian nurses from 19 wards across 16 hospitals in northern Iran participated between February and September 2023. Latent profile analysis (LPA) was performed on compassionate care dimensions. Multilevel logistic regression modeling explored associations between resilience dimensions and compassionate care profiles, adjusting for control variables at individual and contextual levels. LPA revealed two distinct compassionate care profiles: "Low Compassionate Care" (16.3%) and "High Compassionate Care" (83.7%). After adjusting for control variables, personal competence (OR = 1.09, 95% CI: 1.02-1.15), positive acceptance (OR = 1.23, 95% CI: 1.06-1.44), and spirituality (OR = 1.17, 95% CI: 1.01-1.38) were associated with higher odds of inclusion in the "High Compassionate Care" profile. The empty model showed that 6.5% of compassionate care patterns were explained at the ward level. After adding predictors at individual and ward levels, explained variances were reduced to 1.5% and < 0.01%, respectively. This study offers insights into compassionate care among nurses, showing that few exhibited "Low Compassionate Care." Higher resilience was positively linked to elevated compassionate care levels. Policymakers, managers, and educators can leverage these findings to enhance nursing management and support systems by prioritizing resilience-building strategies, ultimately improving patient care quality.
关爱护理和心理韧性在提高护理质量方面发挥着关键作用。了解护士群体中的关爱护理模式及其与心理韧性的关系可以增进对这些概念的认识。为了调查伊朗护士的关爱护理模式及其在个体和情境层面与心理韧性的关联。这项横断面研究使用了波斯语版的28项关爱护理问卷（CCQ）和康纳-戴维森心理韧性量表（CD-RISC）。2023年2月至9月期间，来自伊朗北部16家医院19个病房的478名伊朗护士参与了研究。对关爱护理维度进行了潜在剖面分析（LPA）。多水平逻辑回归模型探讨了心理韧性维度与关爱护理剖面之间的关联，并对个体和情境层面的控制变量进行了调整。LPA揭示了两种不同的关爱护理剖面：“低关爱护理”（16.3%）和“高关爱护理”（83.7%）。在对控制变量进行调整后，个人能力（OR = 1.09，95%CI：1.02 - 1.15）、积极接纳（OR = 1.23，95%CI：1.06 - 1.44）和精神性（OR = 1.17，95%CI：1.01 - 1.38）与被纳入“高关爱护理”剖面的较高几率相关。空模型显示，6.5%的关爱护理模式在病房层面得到了解释。在添加个体和病房层面的预测因素后，解释方差分别降至1.5%和<0.01%。这项研究为护士的关爱护理提供了见解，表明很少有人表现出“低关爱护理”。较高的心理韧性与更高的关爱护理水平呈正相关。政策制定者、管理者和教育工作者可以利用这些发现，通过优先实施心理韧性建设策略来加强护理管理和支持系统，最终提高患者护理质量。
